Medical Billing & Authorization Assistant

Traditional Home Health and Hospice•Dunmore, PA

11h•Onsite

About The Position

Traditional Home Health Care is seeking a Medical Billing & Authorization Assistant to process medical claims accurately, support timely reimbursement from insurance companies, and maintain compliance with relevant regulations. This is an in-house position at the company’s Dunmore, Pennsylvania office, scheduled Monday through Friday from 8:30 a.m. to 5:00 p.m. The position requires at least one year of experience performing the specified billing and authorization work. Home health and hospice billing and authorization experience is preferred.

Requirements

At least one year of experience performing the listed billing and authorization work.
Knowledge of appeals and denials.
Experience with EOBs from multiple insurance companies.
Knowledge of Medicare, Medicaid, and primary and secondary insurance.
Ability to analyze data and solve problems using defined methodologies.
Ability to independently research resolutions to billing and authorization issues and work across multiple projects with minimal supervision.
Ability to use discretion with sensitive information and adhere to HIPAA.
Ability to communicate professionally, clearly, and effectively, verbally and in writing.
Ability to prioritize effectively and consistently multitask.

Nice To Haves

Home health and hospice billing and authorization experience is preferred.
Knowledge of medical terminology, provider contracts, fee schedules, payment methodologies, relevant software applications, and reporting requirements is preferred.

Responsibilities

Read and analyze patient records.
Determine appropriate codes for patient records and use those codes to bill insurance providers.
Check insurance coverage for copays, visit limitations, and authorization requirements; verify multiple types of insurance.
Submit service authorizations.
Work through claim denials and appeals.
Track patient data across multiple visits and manage detailed, specifically coded information.
Maintain patient confidentiality and use discretion with sensitive information in accordance with HIPAA.
Collaborate with the Billing Department to resolve billing discrepancies.
Research and resolve billing and authorization issues independently.
Prioritize work and multitask across multiple projects with minimal supervision.